| NPI | 1831662568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX J9616) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: TX J9616) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2026-09-16 |